공초점주사레이저편광계와 빛간섭단층촬영기의 결과가 일치하지 않는 경우의 녹내장 진단

• 영문명: Diagnosis of Glaucoma in the Cases of the Opposed Results of GDx and OCT
• 발행기관: 대한안과학회
• 저자명: 박명희 황호식 문정일,Myoung-Hee Park, M.D., Ho-Sik Hwang, M.D., Jung-Il Moon, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume46,number12, 2010~2015쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2005.12.31

영문 초록

Purpose: To investigate the coincidence of visual field loss in cases with different GDx VCC and Stratus OCT results, and to analyze the cause of these differences. Methods: We retrospectively reviewed the medical records of patients who had visited our hospital for glaucoma evaluation from September 2003 to August 2005 for sensitivity, specificity, positive predictive rate, and negative predictive rate of GDx and OCT. In order to analyze the cause of discrepancy between the GDx and OCT results, we divided patients into Group A, consisting of GDx abnormal and OCT normal eyes, and Group B, consisting of GDx normal and OCT abnormal eyes. We compared optic disc tilting, peripapillary atrophy, and cup-disc ratio between the two groups. Results: In cases of differing results between GDx and OCT, sensitivity, specificity, positive predictive rate and negative predictive rate were higher in Stratus OCT than in GDx. Peripapillary atrophy did not represent a statistically significant difference between group A and group B (p=0.601), where as the difference in cup-disc ratio between the two groups was statistically significant (p=0.000). Conclusions: OCT parameters coincided better than GDx with cases having different results on GDx and OCT. In cases with a large cup/disc ratio, there was a tendency to be normal according to GDx and abnormal by OCT.

키워드

Glaucoma, GDx VCC, Stratus OCT